Biennial Report of the State Hospital at Raleigh, Raleigh, N.C., from July 1, 1924, to June 30, 1926.State Hospital (Raleigh, N.C.) 42 p.RaleighBynum Printing Company1926Call number C362.2 N87s 1914/16-1936/38 (North Carolina Collection, University of North Carolina at Chapel Hill)Biennial Report of the State Hospital at Raleigh, N.C., from July 1, 1924, to June 30, 1926 also includes a section entitled "Report on Audit for the Fiscal Year Ended June 30, 1926" that was not digitized.

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I have the honor to submit herewith the report of Dr. Albert Anderson, Superintendent of the State Hospital for the Insane, at Raleigh, North Carolina, covering the operations of the Hospital from July 1, 1924 to June 30, 1926, together with a copy of the audit made by Hon. Baxter Durham, Auditor.

The Board of Directors appreciates the coöperation and support accorded it by you and the Council of State at all times, and especially your prompt response to its appeal for assistance when confronted by the emergency arising from the destruction of the West Wing of the Hospital last spring.

Very truly yours,C. F. HARVEY, President Board of Directors.
SUPERINTENDENT'S REPORT
MR. C. FELIX HARVEY, President, and Members of the Board of Directorsof the State Hospital at Raleigh:

GENTLEMEN:—The biennial report of this Hospital from June 30th, 1924, to June 30th, 1926, is submitted as follows:

STATISTICAL SUMMARY Table No. 1
MaleFemaleTotalPatients remaining June 30, 19246516711,322Admitted during last two years (insane)5654711,036Admitted during last two years (criminal insane)78684Total number under treatment1,2941,1482,442Average daily population————1,474.5Restored (insane)6184145Improved (insane)327174501Unimproved (insane)193049Transferred (insane)819Not insane202Died (insane)109101210Discharged and transferred (criminal insane)15116Died (criminal insane)325Total number discharged and dead544393937Per cent of deaths on number treated8.68.88.7Per cent of recoveries and improved of number admitted685461Remaining June 30, 19267507551,505

Our reports on the medical work for two years cover four departments—the insane, epileptic, inebriate and the criminal insane.

The doctors of my staff have submitted the following reports:

(See Dr. Adams' report.)

(See Dr. Ashby's report.)

(See Dr. Brackin's report.)

(See Dr. Jordan's report.)

(See Dr. Young's report.)

The work of our general hospital service has been satisfactory. The necessary surgical operations have been done by different members of our Advisory Board of Surgeons very promptly when called.

Our requests for new buildings and reasons for making them are set out fully in our transmittal letter to Budget Bureau.

We wish again to express our appreciation to the Advisory Board of Doctors for responding so promptly to our call whenever we have work for them to do.

Governor McLean appointed the following physicians of the State on our Advisory Board:

I am giving below a report from the Architect, C. C. Hook, and of Wiley & Wilson, our Heating Engineers, covering all the work done in the last two years.

(See report of Wiley & Wilson.)

(See report of Chas. C. Hook.)

Our Auditor's report gives the details of money spent in our building program.

In conclusion, I wish again to express my sincere thanks to the members of our Board for the great sacrifices they have made in serving this Institution and the fine spirit of coöperation they have given us in the management of the business affairs and building program of this Institution for the last two years.

The officers and employees of this Institution have been loyal and trustworthy and have striven to promote the welfare and care of our patients in every possible way.

We are still holding in our mind the same objective that we have always held persistently; that is “to make our Institution equal to any and surpassed by none.”

SIR:—Pursuant to your request, I submit herewith the report for the Male Department, covering the biennial period from June 30th, 1924 to June 30th, 1926.

The general health of the patients in this department has been good. There has been no epidemic diseases. Vaccination against typhoid and smallpox has been carried out. A few cases of psychosis following encephalitis have been treated with tryparsamide and a few cases of dementia præcox have been treated by the production of an aseptic meningitis by the intraspinal injection of sterile horse serum. Sulpharsphenamine, neosalvarsan bismuth and mercury (both intramuscularly and intravenously) have been employed in the treatment of syphilis. I had hoped during this biennium to treat some cases of paresis with malaria, but have experienced difficulty in securing proper malarial parasites. This work, however, will be carried out during the coming biennial period. There were two suicides during the biennial period. One of these occurred in the Main Building and the other occurred at the Hospital Building.

On April 10th, 1926, about 1:40 P. M., fire broke out in the roof of the Sixth Ward and destroyed the First, Second, Third, Fourth, Fifth and Sixth Wards and the northern end of the Seventh, Eighth, Ninth and Tenth Wards. The Eleventh Ward was also so badly damaged that it cannot be used until extensive repairs can be made. The patients are being cared for on the porches of the Seventh, Eighth, Ninth and Tenth Wards and on the parts of these wards not destroyed by the fire. Some patients were transferred to Oaks Colony and some were taken home by relatives.

Even after the burned building has been rebuilt, the Male Department will still need additional buildings. There has been no building in the Male Department for housing patients since the Seventh, Eighth, Ninth and Tenth Wards were built about twenty years ago. I would make the following recommendations: A Receiving Building with a capacity of 75 to 100 patients, a building for untidy patients to care for 150, and a building for inebriates and drug addicts. The inebriates and drug addicts are now cared for on the wards with the insane. Table One of the statistical report will show that we have admitted more male patients than females, which will show the necessity for a Receiving Building for men, a building of this type having already been provided for the female patients.

On January 1st, 1925, the Criminal Insane building was opened, the Legislature having passed an act that patients of this type should be
cared for in this institution instead of the State's Prison. The building was too small due to inadequate appropriation and as soon as the patients were transferred from the State's Prison the building was so crowded as to necessitate the placing of beds in the halls. During the past biennial period the building has been enlarged and its capacity slightly more than doubled. For this building I would recommend an occupational therapy teacher and amusements from time to time such as moving pictures.

The functions of a State Hospital should be:

1. To receive as many worthy cases as possible.

2. To restore as many patients as possible to society.

3. To accomplish the two above objects as economically as is compatible with good treatment.

With these objects in view, I think the Male Department has made a creditable showing. By referring to Table One of the Statistical Report you will note that more men have been admitted and discharged than women, and by comparison of the payrolls you will note that this has been accomplished very economically.

Since the last biennial report three strong rooms have been added to the Female Receiving Building at a cost of about $1,800. This is the only expenditure that has been made to this building since its construction. The three additional rooms have increased the efficiency of the service but the present capacity is not sufficient and three strong rooms would materially increase our comfort. These rooms could be extended from the three rooms constructed two years ago and on the roof of these three rooms, and the three rooms previously mentioned, we should have a sun porch. This would give the patients at the Female Receiving Building the advantages of sunshine and fresh air which they do not at present enjoy in bad weather and winter, and which is a privilege granted to nearly all of the other patients. The expense of this addition should not exceed $6,000.

During the past biennial period we have been free from a great deal of sickness, but there was one epidemic of erysipelas which affected an attendant and four or five patients, all of whom recovered. There were no suicides during this period and twelve deaths. Most of these deaths occurred shortly after admission of the patients. Two of them dying one day after admission, another within four days and the longest period
that any of these patients who died had been in the hospital was fifty-one days. There was also one death which occurred the day after the patient left the hospital after having been in our service for twelve days.

There has been a decided decrease in drug addiction patients. For the periods of 1924-1925, we admitted thirty patients; 1925-1926 seventeen patients who were drug addicts. On July 1st, 1924, there were in this service four patients diagnosed drug addiction; July 1st, 1926, only one patient of this class.

We are continuing to make a mental and physical examination of all patients as soon as possible after admission; and we are also vaccinating all patients against smallpox and typhoid fever.

SIR:—I herewith submit the report of the Female Department, with the exception of the Receiving Building. There were 533 patients at the end of the biennial period.

ILLNESS:

All cases of physical illness were sent to the Hospital Building except during the influenza epidemic when it would not take care of all. The general health of the patients has been good except for influenza during January and February, 1926. There were about 150 cases of influenza on this service during that time. Most of the cases had a high elevation of temperature and quite a number had complications. The most frequent complications were pneumonia and otitis media. Very few cases were fatal. We have had no cases of contagious disease. There has been no sudden deaths and no suicides. No serious accident has happened.

TREATMENT:

The warm continuous baths have been used for excited and noisy patients with good results. Neutral wet packs have been used very extensively for noisy and excited patients with benefit to the patient.

PROGRESSIVE NOTES:

All patients on this service have had a complete physical examination during this period and a record of the abnormalities found put in their folder. All patients have also had notes made of their mental condition and a record of it made in their folder.

REPAIRS:

During the past biennial period G-ward, K-ward, and Female dining room have been painted. No other repairs have been made except ones necessary in an institution of this kind.

NEW BUILDING:

There has been one ward built on this service. It has ten rooms and is for violent and excited patients. Two continuous bath tubs were installed on this ward.

RECOMMENDATIONS:

We are in need of a building for noisy and untidy patients. At the present time G-ward, which accommodates 100, is being used for same but its location is bad for this type of patients. It is on the main drive of hospital grounds and all visitors can see these untidy patients on the porch and hear their profane and obscene language. My suggestion is to build a building for 100 untidy and noisy patients, in the pines across from E. B., away from the road and use G-ward for higher type of patients.

The Female tubercular building needs a floor and some additional rooms. It stays full all the time and some tubercular patients have to be kept on wards with other patients. My suggestion would be to change the room being used for a dining room, and not suitable for such, into single rooms and build a dining room.

SIR:—Herewith I hand you the biennial report of the Colonies in the department of my service:

Movement and condition of the population of Oaks Colony during the biennial period ending June 30th, 1926:

Number of patients in the institution at beginning of period169Number of patients admitted during period155Number of patients readmitted during period15Number of patients died during period1Number of patients escaped during period47Number of patients returned from escape35Number of patients at large 12Number of patients transferred 85Number of patients discharged 42Number of patients remaining June 30th, 1926199

All patients have been immunized against smallpox and typhoid fever. There have been no contagions or epidemics. The one death reported was due to heart disease. Examinations of and histories written for these received

[Female Dining Room]

not already so treated. Notations of condition of patients have been recorded and filed from time to time.

On account of the sudden influx of patients from Main Building following fire, Oaks Colony was, and is now, very much congested, and the number of idle patients, due either to feebleness or too mentally disturbed to send out, have added considerably to the problem of oversight, yet these conditions have been met by only an addition of one caretaker to usual force of attendants.

Due to the fact that a large part of the population at Oaks Colony is employed upon the farm, opportunities for escape are multiplied. It is very gratifying to record, however, that the number of escapes during this biennium have been decreased above 40% over what occurred during previous two-year period.

At Oaks Colony an increased number of properly heated and ventilated strong rooms are needed to meet the needs of present population. There should also be an increased number of single rooms wherein a noisy patient might be kept over night, otherwise a dormitory of thirty or more patients will be broken of their rest at times for a whole night.

RECOMMENDATIONS:

All strong rooms, bath and toilet rooms should be screened against flies. Dining-room floor should be repaired. Bath-room floors should be of cement and arranged to drain properly.

MALE EPILEPTIC COLONY

MOVEMENT and condition of population at the Male Epileptic Colony:

Number of inmates in institution at beginning88Number of inmates admitted during term182Number of inmates died during term14Number of inmates discharged during term46Number of inmates escaped during term26Number of inmates returned during term15Number of inmates at large during term11Number of inmates transferred during term14Number of inmates remaining at term185

There have been no contagions. Mild epidemics of influenza occurred during early months of 1926. No deaths, however, from this cause. All patients have been immunized against smallpox and typhoid fever. The prevailing cause of death has been exhaustion from epilepsy. One death was from pneumonia. Examinations, mental and physical, of all new patients have been made and their histories written. Notations of condition have been made and recorded from time to time. With more than double the population of the previous biennium we have experienced only three more deaths this period than the former report.
On first and third wards we have had repairs during this biennium of cement floors and wood wainscote, which has enabled cleanliness to be maintained with less labor. Notwithstanding population has increased 100% and more, our caretakers have only been increased 25% in number.

NEEDS:

More properly ventilated and heated strong rooms and single bedrooms are necessary for carefully handling and safeguarding present population.

FEMALE EPILEPTIC COLONY

MOVEMENT and condition of the population of the Female Epileptic Colony:

Number of inmates in institution beginning of term90Number of inmates admitted during term106Number of inmates died during term11Number of inmates discharged during term11Number of inmates escaped during term1Number of inmates returned during term1Number of inmates at large during term0Number of inmates transferred during term5Number of inmates remaining at end of term164

There have been no contagions. Mild epidemic of influenza occurred during the early months of 1926. No deaths, however, from this cause. All patients have been immunized against smallpox and typhoid fever. The prevailing cause of death has been exhaustion from epilepsy. Two patients died from exhaustion from pellagra. Two patients committed suicide. With a population increased by 117% during the biennium there has been but one escape against four during the previous biennium, and the caretakers have only been increased by one. Examinations of all new patients have been made and their histories written, with notations of changes from time to time filed. Notwithstanding the population doubled during the biennium and the fact that there were two suicides as against one in the previous biennium, there was exactly the same number of deaths, as of the previous period.

REPAIRS:

On A and C wards during this period we have had new wooden floors and cement wainscote, which enables cleanliness to be maintained with less labor.

NEEDS:

More properly ventilated and heated strong rooms and single bedrooms are necessary for carefully handling and safeguarding the population.

A WORD ABOUT THE EPILEPTIC PROBLEM IN OUR STATE:

It will be noted from the foregoing report that as soon as space was available, that in two years' time as many patients were admitted as had been gathered together during the fourteen years that the State had undertaken to provide for that class of defectives. Of course, when there was no space there could be no admissions. Now there is no space again; Male Colony completely full, and Female Colony with less than twenty empty beds.

Among the new admissions are a number of children, fifteen years and less of age. Many applications for children have been rejected, for the policy has been to provide for the more urgent, those who being so mentally upset that to be refused would mean lying in jail. The children admitted cannot enter public school. The conclusion is, from the above facts, that if the State meets its obligations to this class of the afflicted more room for the epileptic is an absolute necessity. Because a child is afflicted with epilepsy it should not be denied the educational opportunities that would enable him to enjoy at least the three R's in educational advantage. Again, it is agreed by all, that the more intelligent use and appreciation of any organ the less deterioration there will be—the brain is no exception to this.

The Dental Department, which has been under the direction of Dr. T. L. Young since April 21st, 1921, has completed a large amount of work during the past two years. All new patients are seen soon after they are admitted. All focal infection removed and teeth repaired.

The office is equipped with the Ritter outfit and Wappler X-ray machine.

SIR:—In accordance with your request, we are giving you below a statement of the extent and cost of mechanical equipment work which has been done at your institution under our plans and supervision, and completed within the last two years; the work which is now in progress; and also the estimated cost of future improvements, which we consider necessary to complete your central plant steam-heating system, provide adequate electric generating equipment, domestic hot water distributing mains, and to safeguard your city water supply system and provide better fire protection.

The estimates for new work include cost of heating equipment for the contemplated new buildings and other minor items, all of which are discussed under the various headings.

MECHANICAL EQUIPMENT WORK COMPLETED DURING THE LAST TWO YEARS

The mechanical equipment work completed under our plans and supervision during the last two years is as follows:

1924—Extension of hot water heating mains to the Male Tubercular Building, which was moved to a new location. Cost of this work$935.001924—Installation of new 8-in. exhaust steam supply main from power house to center of main building, to utilize the exhaust or waste steam in the heating system. Cost of this work$3,314.611924—Installation of high-pressure steam connections to new cooking equipment in three kitchens at the Colony Buildings. Cost of this work$632.501924—Installation of steam heating equipment in new Criminal Insane Building. Cost of this work$5,867.401924—Installation of heating equipment in Superintendent's residence, together with connecting mains from central heating plant. Cost of this work$4,375.001925—Installation of heating equipment in Steward's residence, independent plant. Cost of this work$1,160.501925—Installation of heating equipment in new addition to Criminal Insane Building and Strong Rooms. Cost of this work$2,992.001925—Installation of two new 250 h. p. water tube boilers, together with pipe connections and auxiliaries to take the place of three old boilers removed. Cost of this work$26,763.73

MECHANICAL EQUIPMENT WORK NOW IN PROGRESS

The mechanical equipment work now in progress under our plans and supervision is as follows:

Installation of two new 350 h. p. water tube boilers with pipe connections, forced draft equipment and necessary auxiliaries. Cost of this work$41,597.60

These boilers are being installed to take the place of three old boilers and provide additional boiler capacity, sufficient to supply steam to the Colony Group of the buildings, when connecting mains can be installed for this purpose.Heating, ventilating and domestic hot water supply equipment for new West Wing, North and Rear Dormitories, recently destroyed by fire. Cost of this work$31,710.80New underground hot water heating mains extending from power house to Male Tubercular Building and Seventh Ward, on one side, and from power house to Female Tubercular Building and Erwin Building on the other side, also domestic hot water mains leading along the same lines, all of which are to take the place of present mains which have rusted out and have to be renewed. This work is being done by your own repair department as renewals, and the estimated cost is$11,000.00

For Recommendations and Estimates for Future Mechanical Equipment Work, see letter of transmittal to Budget Bureau.

SIR:—In the past two years, ending with June, 1925, we have made provision for caring for fifty additional inmates in the Criminal Insane department and that building will now accommodate one hundred inmates. A wing was added to the original building and some changes made in the original building, thus giving us the space for the fifty additional beds and also providing a new dining room and serving room to care for the one hundred inmates, the former smaller dining room having been used for bedrooms by building partitions in same. The required number of shower baths and other toilet facilities were also added and two additional rooms for attendants in charge of this wing of the building.

We were successful in getting this project completed within the amount of the appropriation, and the plan is a very satisfactory one, having been arranged so that this wing may be extended in the future without destroying any part of the present building.

We took advantage of the ground floor space of the covered way leading from the Erwin Building to the dining room, and built into this space a strong-room wing for women, and provided ten additional strong rooms, well ventilated, lighted and heated; also an attendants' room and double continuous bathroom; the necessary toilet rooms, store-rooms, etc., were also provided and this piece of work is considered one of the best pieces of construction that we have. The utilization of the space under the covered way saved us about three thousand dollars, and
this wing is entirely above the ground. This wing, also the Criminal Insane wing, are both of fireproof construction.

The old wooden floors of the Seventh Ward were entirely removed and replaced with re-enforced concrete. Concrete floors were also placed in certain parts of the Epileptic Colony building for men where the old wooden floors had decayed. New tile floors were laid in the serving rooms adjacent to the dining rooms for women and men.

We awarded contracts July 15th for the rebuilding of that portion of the building that was destroyed by fire on the 10th day of April. The building is now in course of construction, and at the suggestion of Governor McLean, who deemed it wise to take advantage of the overhead expense in connection with building operations, we enlarged the building and instead of rebuilding for two hundred seventy-five, which was the number of inmates in the burnt portions, we have provided for one hundred additional, or three hundred seventy-five. Our contract provides that this entire project must be completed not later than the 15th day of May, 1927, and that part designated as the rear dormitory, which is a part of this project, will be completed by the 15th of October, this year. This project is to be one of the best in the State. The building will be fireproof, and the plans were given most careful consideration, and I conferred with several of the Nation's competent authorities in reference to the building before preparing the working plans.

After consulting with the Superintendent as to the urgent needs of the Hospital, I have advised as follows: (See letter of transmittal to Budget Bureau.)

Respectfully submitted,CHAS. C. HOOK, Architect.
STATISTICAL SUMMARY

Table No. 1
MaleFemaleTotalPatients remaining June 30, 19246516711,322Admitted during last two years (insane)5654711,036Admitted during last two years (criminal insane)78684Total number under treatment1,2941,1482,442Average daily population————1,474.5Restored (insane)6184145Improved (insane)327174501Unimproved (insane)193049Transferred (insane)819Not insane202Died (insane)109101210Discharged and transferred (criminal insane)15116Died (criminal insane)325Total number discharged and dead544393937Per cent of deaths on number treated8.68.88.7Per cent of recoveries and improved of number admitted685461Remaining June 30, 19267507551,505

Table No. 2
SHOWING THE NUMBER OF ADMISSIONS AND DISCHARGES (INCLUDING CURES, IMPROVED, UNIMPROVED AND DEATHS) FOR EACH YEAR SINCE THE OPENING OF THE HOSPITAL
DateAdmissionsDischargedRemainingCuredImprovedTransferredNot InsaneUnimprovedDeathsTotal18569053——————210801857961510————6738138185857267————99511411859832211————710501701860762322————252373179186161214————14847193186244172————8154219518634194————72141195186440147————7275518918654191————194574147186665154————141447165186785135————132152198186872187————11175321718692773————271922518702774————292223218714495————9831245187243149————14855233187350176————51341242187444138————21639247187542165————51440249187644116————3929264187752138————315392781878421411————101954266

Table No. 4
SHOWING DURATION OF INSANITY OF THOSE ADMITTED DURING PAST TWO YEARS
MaleFemaleTotalNot to exceed 1 month4549941 to 3 months49511003 to 6 months3941806 to 12 months40529212 to 24 months5143942 to 3 years2624503 to 5 years70411115 to 10 years696313210 to 20 years594610520 to 30 years19123130 to 40 years931240 to 50 years20250 to 60 years011Unknown8745132Totals5654711,036

Table No. 5
SHOWING AGE WHEN ADMITTED OF THOSE ADMITTED DURING TWO YEARS
MaleFemaleTotalFrom 1 to 10 years4812From 10 to 20 years5061111From 20 to 30 years11197208From 30 to 40 years128124252From 40 to 50 years117101218From 50 to 60 years8049129From 60 to 70 years422264From 70 to 80 years23629From 80 to 90 years224Unknown819Totals5654711,036

Table No. 6
SHOWING CIVIL CONDITION OF THOSE ADMITTED DURING THE PAST TWO YEARS
MaleFemaleTotalSingle245156401Married265258523Widowed5557112Totals5654711,036

Table No. 7
SHOWING RESIDENCE OF THOSE ADMITTED DURING THE PAST TWO YEARS
MaleFemaleTotalAlamance161733Alleghany011Alexander303Anson314Ashe101Avery112Beaufort5813Bertie022Bladen5712Brunswick235Buncombe10616Burke000Cabarrus7310Camden022Carteret314Caldwell213Caswell2810Catawba505Chatham4711Cherokee404Chowan426Columbus4610

Table No. 8
SHOWING NATIVITY OF THOSE ADMITTED DURING THE PAST TWO YEARS
MaleFemaleTotalNorth Carolina5654621,027Georgia011Virginia022West Virginia011New York011Pennsylvania011Wisconsin011England022Totals5654711,036

Table No. 10
SHOWING DURATION OF INSANITY OF THOSE RECOVERED DURING PAST TWO YEARS
MaleFemaleTotal1 to 3 months2023 to 6 months97166 to 12 months1918371 to 3 years3059893 to 5 years101Totals6184145

Table No. 11
SHOWING CAUSE OF DEATH OF THOSE WHO DIED DURING THE PAST TWO YEARS
MaleFemaleTotalPulmonary tuberculosis41822Lobar pneumonia729Broncho pneumonia51015Exhaustion from epilepsy14822Cardio renal disease61016Cerebral hemorrhage505Exhaustion from senile dementia18624Exhaustion from manic-depressive insanity527Pellagra6612Paresis303Suicide by cutting throat101Accidental scald101Valvular disease of heart213Organic heart disease101Exhaustion from involutional melancholia145Exhaustion from dementia præcox055Exhaustion from Huntington's chorea101Acute nephritis011Cancer of breast011Arterio sclerosis538Fractured femur123Endocarditis202Cerebro spinal syphilis011Septicemia022Congestion of lungs202Hepatic cirrhosis101Malignant hypertension011Myocarditis011Gastro enteritis101Diarrhea123Exhaustion from mental disease4913Chronic alcoholism and hypothyroidism101Exhaustion from acute mania011Tabes dorsalis101General paralysis101Sarcoma101Herniotomy101Hemiplegia011Organic heart disease101Ulcer of stomach101Pneumonia and endocarditis101

Table No. 12
SHOWING FORM OF INSANITY OF THOSE WHO DIED DURING THE PAST TWO YEARS
MaleFemaleTotalMoron101Psychosis with Huntington's chorea101Defective mental development022Dementia præcox51722Epilepsy221032Involutional melancholia31518Manic-depressive insanity152439Cerebro spinal syphilis011Pellagra235Senile dementia311647Paresis505Hemiplegia011Cerebral hemorrhage202Arterio sclerosis112Drug addict112Alcoholism505Tabes dorsalis101Imbecile202Undiagnosed121022Totals109101210

Table No. 13
SHOWING THE AGE AT DEATH OF THOSE WHO DIED DURING THE PAST TWO YEARS
MaleFemaleTotalFrom 10 to 20 years5510From 20 to 30 years71118From 30 to 40 years61218From 40 to 50 years201737From 50 to 60 years232043From 60 to 70 years252146From 70 to 80 years221133From 80 to 90 years145Totals109101210

Table No. 14
SHOWING LENGTH OF TIME SPENT IN HOSPITAL OF THOSE WHO DIED DURING THE PAST TWO YEARS
MaleFemaleTotalLess than a week235From 1 to 4 weeks211940From 1 to 3 months9413From 3 to 6 months7714From 6 to 12 months14721From 1 to 3 years211738From 3 to 5 years9514From 5 to 10 years61420From 10 to 15 years131124From 15 to 20 years3710From 20 to 30 years459From 30 to 40 years011From 40 to 50 years011Totals109101210

Table No. 15SHOWING RESIDENCE OF THOSE REMAINING IN HOSPITALMaleFemaleTotalAlamance242852Alleghany235Alexander235Anson325Ashe639Avery314Beaufort131730Bertie41519Bladen141428Burke538Brunswick6612Buncombe8614Cabarrus538Camden123Clay202Carteret6612Caswell7916Caldwell134Chatham61319Chowan527Cleveland112Columbus11920Cherokee303Craven71522Cumberland312354Currituck336Dare336Davie325Duplin101222Davidson505Durham233053Edgecombe211132

MADAM:—I hereby submit a report of the work done in the Engineering Department for two years, ending June 30th, 1926:

We have, besides keeping up the regular repairs, made the following improvements:

Connected four cottages with the lighting system and water and connected same to the city sewer, and run a storm sewer to the branch.

Have run a telephone line under ground from the Superintendent's residence to the gate-keeper's cottage.

We have installed two closets in courtyard at Male Epileptic Colony, using 300 feet of 1¼ in. galvanized pipe and 500 feet of 4-in. terracotta.

We have made a new connection to the water main, taking out the old 2-in. connection and putting in a 4-in. connection. This will give a good supply of water to all fixtures.

We have repaired electric and telephone lines to colonies, and put up new poles at railroad crossing, raising the wires thirty-eight feet above the rails.

We have installed new drinking cups in the dairy and have had new tubes put in boiler at same.

We have taken out the old Jones stokers from boilers Nos. 1, 2 and 3 and rebuilt the firebox for hand-firing; and have dismantled boilers Nos. 4, 5 and 6, and taken them out and cut them up for junk. Have cleared out the old foundation ready for new work.

We have changed the steam connection on No. 3 boiler from high pressure to the 40-pound line and have put in the heating system until the new boilers are ready. This old boiler was loaned by Dillon Supply Company.

We have remodeled the heating system in the greenhouse and installed a cellar drain in the pit to keep out the water.

We have moved the water main and telephone line poles out of the way of the annex to the Criminal Insane Building and have run a storm sewer under the railroad to take the water away from this building. We have had to change the electric line also for this building.

Two new boilers have been installed in the boiler room, 250 h. p. each. These boilers were fired up and put in use December 25th, 1925. Everything was working fine until I got oil in the new boilers and burned out twelve tubes in No. 3, No. 4 and No. 5 boilers; this was caused by too much oil being fed to the cylinders of the engine. These tubes were replaced and I have kept them clean ever since.

We have installed a pair of scales for weighing coal and ashes in boiler room; also a cellar drain to keep the water out of the scale pit.

We have installed a new mill of the hammer type for grinding our grain.

We have installed a transformer of 5 K. W. in a pit back of the Superintendent's residence, and run a cable from the Hospital Building to this transformer. This was to get better service for electric range.

We have made eccentric rod for No. 2 power engine and new piston rings for boiler feed pumps.

We have installed in laundry a humatic extractor and a copper starch cooker.

We have installed in pump room, on receiving tank, a copper regulating valve. This lets in city water when it is needed only.

We have put up a new electric line feeding D, E, and F wards, the old line being torn down.

On April 10th, 1926, we had a fire which destroyed six wards of the Main Building and four wards that were built during Dr. Kirby's administration, and stopped at a wall of the Underwood Building built during Dr. Jas. McKee's administration. On the back side of the old building, the dormitory and old dining hall and toilets for six wards were destroyed. This was built by Underwood and was built during Dr. McKee's administration.

After the fire, which put all of our steam, hot and cold water lines out of use on the male side, we made a temporary steam connection, using 400 feet of 2-in. black pipe and 200 feet 1½-in. black pipe. We then connected our hot water heating system to domestic hot water system, but it did not last long and had to be changed.

We have put new water end on No. 2 boiler feed pump and new piston rods on same.

MADAM:—I respectfully submit to you the record of work done in the Carpenter Department from June 30th, 1924, to June 30th, 1926:

Laid maple floors in First and Fourth Ward. Laid and varnished floor in First Ward. Painted interior of Receiving Building. Shoeing horses and mules during year of 1925. Completed finishing work at Superintendent's residence. Painted Colony and Doctor's residence two coats. Converted back porch at Gate Keeper's cottage into room.

Laid cement walk, built brick wall and partition around pump. Laid cement floor in basement at Twelfth Ward. Laid concrete runway at Laundry. Built partition for two bathrooms. Laid oak floor in room and two bathrooms in second floor in Center Building.

Erected 500 feet shelving in clothes rooms and painted eight rooms at Female Colony. Built cement steps and walk at Colony and Doctor's residence. Built forms for wall and poured same at Boylan Bridge.

Assisted with cyclone fence at G-Ward, Male and Female Colony. Cut opening and hung door in Bakery. Laid concrete walk in front of Female Colony. Built shelters in Male and Female Epileptic courtyard 24×50. Covered same with rubber roofing. Built 120 feet lattice fence at G-Ward courtyard. Erected 2,000 feet shelving in storeroom. Built four cottages on Boylan Drive with four rooms and bath and covered same with composition shingles.

Built rim and wired inside corn crib. Laid concrete walk and gutter at west end of Nurses's Home. Ceiled strong room at Female Colony. Built two huts for female patients eight feet square. Assisted with erection of cyclone fence between bridge and Nurses' Home. Put up beaver board in room of kitchen employees. Varnished cork floor in Female Dining Room. Painted interior of Nurses' Home. Sanded and varnished floors.

Built arria wall and steps at Steward's residence. Painted window and door at Boiler House. Built room and porch at Dr. Brackin's cottage. Covered same with composition shingles. Laid pine floor in upper hall. Sanded and varnished same at Colony and Doctor's residence. Made desk for Male Colony.

Made necessary repairs on female wards caused by damage at time of fire. (Mr. Davidson's men assisted in this work.) Cut down cabinet lockers at Nurses' Home. Put 350 feet sand-screen wire on ventilators on roof at Boiler Room. Built concrete transformer pit at Superintendent's residence. Built double brick garage at Steward's residence. Made six heavy screen doors for Dairy Barn. Built elevator frame in coal bin. Took down roof on Eleventh Ward that was burned to make ready for new building.

Dental Office and X-Ray Lab

Laid concrete floor in basement adjoining G-Ward. Hung double doors on porch and also made two screen doors for Nurses' Home. Repairs to wagons. Locks repaired; glass on wards; chairs repaired; mattresses sterilized and made. The chair and mattress work is done by patients.

With the aid of patients in the spring of 1925 we painted the entire Kitchen, including the five Dining Rooms in Kitchen, Vegetable Room and Diet Kitchen. In the spring of 1925 we painted the Meat Room, Broom Room, Vegetable Room, Supply Room, Diet Kitchen and varnished all the furniture, office fixtures and chairs in Center Building, also painted and enameled all beds in Center Building.

MADAM:—I hereby respectfully submit to you a report of the work done in this department from June 30th, 1924, to June 30th, 1926:

Total number of pieces mended...................................83,646Total number of pieces marked..................................191,957Total number of bandage made......................................7,343Total number of shoes mended, pairs............................2,741Total number of pieces mended at Female Colony....19,424Average number of patients in mending room....................16Average number of patients in sewing room.......................22Average number of patients in laundry.................................34Average number of employees in laundry...........................14One employee in mending roomOne employee in sewing room